Operation Breakthrough, Inc.

Violation substantiated · 5 CSR 25-500.182(1)(C)7.

Physical punishment including, but not limited to, spanking, slapping, shaking, biting, or pulling hair shall be prohibited.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 15, 2026

The floors located CWC 2 was/were not in good condition as evidenced by near the middle pillar, there was a floor board broken and missing parts and next to it was more broken floor boards but this section had duct tape over it. Both sections need to be fixed.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.192 (4) (A) · Health Care · Correction due June 15, 2026

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located CWC 2 was/were not in good condition as evidenced by near the middle pillar, there was a floor board broken and missing parts and next to it was more broken floor boards but this section had duct tape over it. Both sections need to be fixed.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (B) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 29, 2026

The facility's outdoor play space is used at the same time by children from the infant/toddler unit and preschool/school-age children as evidenced by 2 classrooms of 3 year olds (10 children) were outdoors on the playground with 1 year olds (5 children) and 2 year olds (13 children).

Required correction: The facility shall provide separate play space or separate outdoor play times as required.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.222 (2) (B) · Records and Reports · Correction due May 29, 2026

1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located CWC 2 was/were not in good condition as evidenced by near the middle pillar, there was a floor board broken and missing parts and next to it was more broken floor boards but this section had duct tape over it. Both sections need to be fixed.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (B) 1. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor play space is used at the same time by children from the infant/toddler unit and preschool/school-age children as evidenced by 2 classrooms of 3 year olds (10 children) were outdoors on the playground with 1 year olds (5 children) and 2 year olds (13 children).

Required correction: The facility shall provide separate play space or separate outdoor play times as required.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due May 21, 2026

Safe sleep training was not completed within the past 3 years for the following staff D.B., A.F., and C.H.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.132 (6) · Admission Policies and Procedures · Correction due May 21, 2026

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.222 (2) (B) · Records and Reports

1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff D.B., A.F., and C.H.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.132 (6) · Admission Policies and Procedures

An individualized plan for specialized care for a child with special physical, developmental or behavioral needs was not on file.

Required correction: An individualized plan from a professional source shall be on file as required.

5 CSR 25-500.192 (4) (A) · Health Care

Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.

Required correction: Child immunization requirements shall be on file as required.

5 CSR 25-500.222 (2) (B) · Records and Reports

1 child(ren) records did not include full name, home address, employers name and address, work schedule and home and work telephone numbers of the parent(s), guardian or legal custodian.

Required correction: Child enrollment information shall be completed and on file as required.

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.042(18)

The number and ages of children a group child care home or child care center is authorized to have in care at any one (1) time shall be specified on the license and shall not be exceeded except as permitted within these rules.

Required correction: The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.082(1)(C)

Children shall have no access to areas not approved for child care.

Required correction: The facility shall notify all staff members of the violations which were substantiated, and specify the actions to be taken by all staff in order to comply with all violations cited. A copy of the memo, letter, or staff meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due July 7, 2025

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: C.B.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.052 (2) (C) · Annual Requirements · Correction due June 3, 2025

The Family Care Safety Registry check was not conducted for C.B. and A.J. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

The floors located in Hogan 1 was/were not in good condition as evidenced by inside the bathroom corner by the door there is trim that is ripping off showing the glue underneath it. And on the far wall in the room, beside the bathroom, there is no trim and there is a part of the wall that is coming off near the floor.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

The walls located in rooms Orange 2, Orange 1, Yellow 4 and KCPS 1 was/were not in good condition as evidenced by Orange 2 has chipping paint on the wall across from the diapering area, Orange 1 has chipping paint in the crib area on the right side orange painted wall, Yellow 4 has showing wall putty that needs to be painted over, and KCPS 1 has paint and wall chipping by the handwashing station outside of the bathroom.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

The walls located in Orange 2 was/were not clean as evidenced by brown splash on the wall near the water fountain. Looks similar to rust or water damage.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due May 30, 2025

The facility's outdoor space was not safe for children's activities as evidenced by on the upstairs (blue neighborhood) Infant/Toddler playground there was bird poop under the tree in the middle covering the ground and some nearby toys.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due May 30, 2025

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the playmat near the diapering changing table in I/T room Blue 1 had a brown stain on it.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.102 · Personnel (1) (K) . · Correction due May 30, 2025

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: C.B. and A.J.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due June 3, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: J.B. needs 1.5 hours, P.B. needs 1 hour, A.C. needs 2 hours, S.D. needs 2 hours, E.F. needs 6 hours, A.J. needs 3 hours, D.L. needs 3 hours, L.M. needs 2 hours, A.P. needs 12 hours, R.S. needs 1 hour, A.W. needs 1 hour, A.W. needs 2 hours, and Gavin wood needs 6 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due May 30, 2025

Medical examination report(s) was/were not on file for C.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: C.B.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports · Correction due June 12, 2025

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/22/2024.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due May 30, 2025

Criminal background check results were not on file for Z.W. and C.B.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for C.B. and A.J. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in Hogan 1 was/were not in good condition as evidenced by inside the bathroom corner by the door there is trim that is ripping off showing the glue underneath it. And on the far wall in the room, beside the bathroom, there is no trim and there is a part of the wall that is coming off near the floor.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in rooms Orange 2, Orange 1, Yellow 4 and KCPS 1 was/were not in good condition as evidenced by Orange 2 has chipping paint on the wall across from the diapering area, Orange 1 has chipping paint in the crib area on the right side orange painted wall, Yellow 4 has showing wall putty that needs to be painted over, and KCPS 1 has paint and wall chipping by the handwashing station outside of the bathroom.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Orange 2 was/were not clean as evidenced by brown splash on the wall near the water fountain. Looks similar to rust or water damage.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by on the upstairs (blue neighborhood) Infant/Toddler playground there was bird poop under the tree in the middle covering the ground and some nearby toys.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the playmat near the diapering changing table in I/T room Blue 1 had a brown stain on it.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: C.B. and A.J.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: J.B. needs 1.5 hours, P.B. needs 1 hour, A.C. needs 2 hours, S.D. needs 2 hours, E.F. needs 6 hours, A.J. needs 3 hours, D.L. needs 3 hours, L.M. needs 2 hours, A.P. needs 12 hours, R.S. needs 1 hour, A.W. needs 1 hour, A.W. needs 2 hours, and Gavin wood needs 6 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for C.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: C.B.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/19/2024 and 8/22/2024.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Z.W. and C.B.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in Hogan 1 was/were not in good condition as evidenced by inside the bathroom corner by the door there is trim that is ripping off showing the glue underneath it. And on the far wall in the room, beside the bathroom, there is no trim and there is a part of the wall that is coming off near the floor.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.052 (2) (C) · Annual Requirements

The Family Care Safety Registry check was not conducted for C.B. and A.J. within thirty (30) days prior to the anniversary date.

Required correction: Required Family Care Safety Registry checks shall be conducted for all child care staff member(s) within thirty (30) days prior to the anniversary date.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 2024

Hazardous items as follows were accessible to children: multiple paint canisters. The item(s) was/were located in an unlocked cabinet in an Infant/Toddler room. Caregivers asked for someone to bring in a lock and locked it up.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in Orange 2 was/were not clean as evidenced by brown splash on the wall near the water fountain. Looks similar to rust or water damage.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by on the upstairs (blue neighborhood) Infant/Toddler playground there was bird poop under the tree in the middle covering the ground and some nearby toys.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in rooms Orange 2, Orange 1, Yellow 4 and KCPS 1 was/were not in good condition as evidenced by Orange 2 has chipping paint on the wall across from the diapering area, Orange 1 has chipping paint in the crib area on the right side orange painted wall, Yellow 4 has showing wall putty that needs to be painted over, and KCPS 1 has paint and wall chipping by the handwashing station outside of the bathroom.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by the playmat near the diapering changing table in I/T room Blue 1 had a brown stain on it.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.092 (2) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2024

The requirements for equipment to be clean, in good condition and accessible were not met as evidenced by a big green pillow/beanbag in Blue 1 had multiple stains on it. It was removed from the classroom.

Required correction: Indoor play equipment, clean and in good repair, shall be accessible to children.

5 CSR 25-500.102 · Personnel (1) (K) .

A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: C.B. and A.J.

Required correction: The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: J.B. needs 1.5 hours, P.B. needs 1 hour, A.C. needs 2 hours, S.D. needs 2 hours, E.F. needs 6 hours, A.J. needs 3 hours, D.L. needs 3 hours, L.M. needs 2 hours, A.P. needs 12 hours, R.S. needs 1 hour, A.W. needs 1 hour, A.W. needs 2 hours, and Gavin wood needs 6 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for A.J. and C.B. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.J. and C.B.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (2) (A) · Medical Examination Reports

Requirements for infant-toddler/preschool child medical examination reports on file were not met as evidenced by there was no medical examination report on file within 30 days of admission - the admission date(s) was/were 8/19/2024 and 8/22/2024.

Required correction: Child medical requirements shall be completed and on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for Z.W., A.J. and C.B.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness · Correction due June 13, 2024

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by Red 5 not having an emergency and disaster plan in the classroom.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (B) 2. . · Correction due June 2, 2024

The facility had an insufficient amount of equipment and materials. The facility need an additional Room Red 5 needs about 90 (8 from each category) items.

Required correction: The facility shall provide appropriate equipment for children as required.

5 CSR 25-500.090 (2) (A) · Disaster and Emergency Preparedness

The facility's disaster and emergency plan was not available in each room used for childcare as evidenced by Red 5 not having an emergency and disaster plan in the classroom.

Required correction: The facilities disaster and emergency plan must be available in required locations.

5 CSR 25-500.092 · Furniture, Equipment and Materials (2) (B) 2. .

The facility had an insufficient amount of equipment and materials. The facility need an additional Room Red 5 needs about 90 (8 from each category) items.

Required correction: The facility shall provide appropriate equipment for children as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 27, 2023

Furniture/equipment, toy fridge handle, in Purple 4 was not in good condition as evidenced by falling off and will cause a pinch if children play with it.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 27, 2023

Furniture/equipment, shelving unit, in Purple 5 was not in good condition as evidenced by a hole in the back of the cabinet creating a hole with sharp edges if the children were to reach in.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due March 21, 2024

Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due February 9, 2024

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: J.B. needs 12 hours, A.P. needs 6 hours, I.P. needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (4) (A) 3. · Personnel · Correction due March 21, 2024

Kennedy Abbott, Peyton Brasfield, Aisha Arij, Bryan Carpenter, Shaniequa Johnson, Mikayla McNeal, Aimee Patterson, and Dorothy Weaver. Aimya Fayne and Tywanna Solvian were both corrected on site. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-600.020 (5) · General Requirements · Correction due January 29, 2024

Criminal background check results were older than five (5) years for Cecilia Griffith.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, toy fridge handle, in Purple 4 was not in good condition as evidenced by falling off and will cause a pinch if children play with it.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelving unit, in Purple 5 was not in good condition as evidenced by a hole in the back of the cabinet creating a hole with sharp edges if the children were to reach in.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: J.B. needs 12 hours, A.P. needs 6 hours, I.P. needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (4) (A) 3. · Personnel

Kennedy Abbott, Peyton Brasfield, Aisha Arij, Bryan Carpenter, Shaniequa Johnson, Mikayla McNeal, Aimee Patterson, and Dorothy Weaver. Aimya Fayne and Tywanna Solvian were both corrected on site. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.192 (5) (A) · Health Care · Correction due March 21, 2024

The provider did not follow required procedures for accidents, injuries and emergency medical care as evidenced by parents were not notified immediately when Child A fell and received a cut on her chin and possibly a chip on her tooth on March 19, 2024.

Required correction: The provider shall follow procedures as required in the case of a child's accident, injury, or emergency care.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cecilia Griffith.

Required correction: Required results of criminal background checks shall be on file.

Violation substantiated · 5 CSR 25-500.182(1)(A)1.

Caregivers shall not leave any child without competent supervision.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

Violation substantiated · 5 CSR 25-500.182(1)(A)3.

Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.

Required correction: The facility shall notify all caregivers (paid employees and paid or unpaid volunteers) of the violations which were substantiated and specify the actions to be taken by all caregivers, in order to comply with all violations cited. A copy of the memo, letter, or meeting agenda shall be submitted to the Office of Childhood.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, toy fridge handle, in Purple 4 was not in good condition as evidenced by falling off and will cause a pinch if children play with it.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelving unit, in Purple 5 was not in good condition as evidenced by a hole in the back of the cabinet creating a hole with sharp edges if the children were to reach in.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: J.B. needs 12 hours, A.P. needs 6 hours, I.P. needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (4) (A) 3. · Personnel

Kennedy Abbott, Peyton Brasfield, Aisha Arij, Bryan Carpenter, Shaniequa Johnson, Mikayla McNeal, Aimee Patterson, and Dorothy Weaver. Aimya Fayne and Tywanna Solvian were both corrected on site. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios · Correction due December 18, 2023

Staff/child ratio requirements were not met as evidenced by 5 children, ages 8 mon-13 mon, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cecilia Griffith.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 12, 2023

The walls located in purple 2 and KCPS 1 was/were not in good condition as evidenced by in purple 2- paint chipping by window, and in KCPS 1 by the whiteboard,.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2023

Furniture/equipment, flower rug, in Orange 3B was unsafe as evidenced by rug is coming up on 2 sides that is causing a tripping hazard.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2023

Furniture/equipment, fake sink, in Hogan 1 was not in good condition as evidenced by handle bar is hanging off and not attached.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 12, 2023

Furniture/equipment, white shelving unit, in Orange 3A was not in good condition as evidenced by chipping paint and wood.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 12, 2023

Outdoor equipment, 2 radio flyer tricycles, in the infant playground lower level was unsafe as evidenced by missing handle bars leaving a hole where the children can put their hands in.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due December 12, 2023

Outdoor equipment, 3 blue tricycles, in the preschool lower level playground was not in good condition as evidenced by chipping paint and rusting.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, shelving unit, in Purple 5 was not in good condition as evidenced by a hole in the back of the cabinet creating a hole with sharp edges if the children were to reach in.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials

Furniture/equipment, toy fridge handle, in Purple 4 was not in good condition as evidenced by falling off and will cause a pinch if children play with it.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: J.B. needs 12 hours, A.P. needs 6 hours, I.P. needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 (4) (A) 3. · Personnel

Kennedy Abbott, Peyton Brasfield, Aisha Arij, Bryan Carpenter, Shaniequa Johnson, Mikayla McNeal, Aimee Patterson, and Dorothy Weaver. Aimya Fayne and Tywanna Solvian were both corrected on site. did not complete safe sleep training within 30 days of employment or volunteering at the facility.

Required correction: The department-approved safe sleep training must be completed within 30 days of employment or volunteering.

5 CSR 25-500.112 (1) (A) · Staff/Child Ratios

Staff/child ratio requirements were not met as evidenced by 5 children, ages 8 mon-13 mon, were cared for by 1 caregiver(s).

Required correction: Correct staff/child ratios and group size shall be maintained.

5 CSR 25-600.020 (5) · General Requirements

Criminal background check results were older than five (5) years for Cecilia Griffith.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, flower rug, in Orange 3B was unsafe as evidenced by rug is coming up on 2 sides that is causing a tripping hazard.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · No longer displayed by the state

The walls located in purple 2 and KCPS 1 was/were not in good condition as evidenced by in purple 2- paint chipping by window, and in KCPS 1 by the whiteboard,.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, fake sink, in Hogan 1 was not in good condition as evidenced by handle bar is hanging off and not attached.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, white shelving unit, in Orange 3A was not in good condition as evidenced by chipping paint and wood.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · No longer displayed by the state

Furniture/equipment, shelves, backs of chairs, and other wood surfaces, in approximately all the rooms in purple, green, blue, orange, and yellow was not in good condition as evidenced by residue on the equipment.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, 2 radio flyer tricycles, in the infant playground lower level was unsafe as evidenced by missing handle bars leaving a hole where the children can put their hands in.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · No longer displayed by the state

Outdoor equipment, 3 blue tricycles, in the preschool lower level playground was not in good condition as evidenced by chipping paint and rusting.

Required correction: Outdoor play equipment shall be safe and in good repair.

Violation substantiated · 5 CSR 25-500.082(2)(A)9.

The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.

Required correction: The facility shall provide a sanitation inspection that shows the facility is free of rodents and mouse droppings. The facility shall submit the sanitation report to the Office of Childhood for verification. The facility shall be clean and free of rodents and mouse droppings. Photos documenting the cleanliness of the facility shall be submitted to the Office of Childhood